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Individual

MR. CHARLES EDWARD DONALD JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RMHCI

Contact information

Practice address
2667 HIGHWAY 73, MARIANNA, FL 32448-5451
(850) 209-2727
Mailing address
2667 HIGHWAY 73, MARIANNA, FL 32448-5451
(850) 209-2727

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH22107
FL

Other

Enumeration date
11/07/2022
Last updated
11/07/2022
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